Every Door Direct Mail (EDDM) Retail® (Do Not …

1 Post Office: Note mail Arrival Date & Time United States Postal Service (Do Not Round Stamp). Every Door Direct mail ( eddm ) retail . Name and Address of Individual or Organization Telephone Name and Address of Mailing Agent (If other than Telephone for Which Mailing is Prepared mailer). Mailer Customer Registration (CRID) _____ Customer Registration (CRID) _____. Post Office of Mailing Processing Category Mailer's Mailing Date Total # of Bundles Total # of Pieces per Bundle eddm Flats Weight of a Single Piece Every Door Direct mail Barcode Type of Postage Delivery Type __ . __ ounces eddm retail Indicia Mailing Max Weight ounces Metered Route Type(s) Incentive/Discount Claimed Meter Strip Subtotal Incentive/Discount Entry Price Category Price No. of Pieces Total Postage Status Postage Amount Affix Meter Strip Here The mailer's signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject to appeal.

2 If an agent signs this form , the agent certifies that he or she is authorized to sign on behalf of the mailer and that the mailer is bound by the certification and agrees to pay any deficiencies. In addition, agents may be liable for any deficiencies resulting from matters within their responsibility, knowledge, or control. The mailer hereby certifies that all information furnished on Certification this form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and the mailing qualifies for the prices and fees claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this form or who omits information requested on this form may be subject to criminal and/or civil penalties, including fines and imprisonment. Privacy Notice: For information regarding our Privacy policy visit Signature of Mailer or Agent Printed Name of Mailer or Agent Signing form Telephone Postmaster: Report Total Postage in AIC 207 Subtotal Postage Incentive/Discount Amount USPS Use Only USPS Use Only Weight of a Single Piece _____.

3 _____ ounces Total Number of Pieces Total Postage Acceptance Acceptance USPS Acceptance Employee Signature Round Date (Required). Payment Date USPS Acceptance Employee Printed Name Number of Bundles Any postage figures adjusted from mailer's entries? If yes, reason: Yes No Round Date (Required). Verification Date USPS Use Only USPS Use Only Verification Verification I CERTIFY that this mailing has been inspected for each item below if required: Date Mailer Notified Contact (1) eligibility for postage prices claimed;. (2) proper preparation (and presort where required);. By (Initials) Time AM. (3) proper completion of postage statement. PM. USPS Verification Employee Signature Print USPS Verification Employee Printed Name PS form 3587, July 2014 (Page 1 of 2) PSN 7530-13-000-6929 This form and mailing standards available on Postal Explorer at Every DOOR Direct mail retail . 5-Digit ZIP Code Route Number # of Mailpieces 5-Digit ZIP Code Route Number # of Mailpieces PS form 3587, July 2014 (Page 2 of 2) PSN 7530-13-000-6929 This form and mailing standards available on Postal Explorer at Sheet 1 of 1.